Esotropia caused by low-dose atropine for rapidly progressive myopia in a 15-year-old boy.

The etiology of myopia is multifactorial, and various methods have been employed to control its progression. Low-dose atropine without bifocals has recently gained acceptance as a treatment option. We report a patient who developed acquired esotropia due to escalating atropine concentrations for myopia control, as a presumed result of atropine-induced accommodative duress and excessive convergence. We have found no previous accounts of this complication.